HomeMy WebLinkAboutPERMIT Siding 1260 Graves Ave 2019-07-16eceivedDatfl.15 7U j Town of Estes Park PermitNumberM_________
4eceivea By )J0 Applcation for Miscellaneous Permit Application Expires I/15/2O
Dentna..t.otBs4piA Safety 170 MacGregor Avenue P.O.Box 1200 Estes Park,CO 80517
___-“‘Genm1,,14n4UrthWttbn Inspection Line (970)577-3726 *FAX (970)586-0249 *www.estes.orc Permit Expires 16 /5 /
Owner Narne:\JWtt&-,lfâi,dS-on PhoneAlD.(‘i9.%9 6’
Address:/334’47nus-eo Cwe ethzc [tflfr_SOS?7
treet)jCity)(State)(Zip Code)
Contractor/Applicant:,4Jff’/htflt 14!JkiS’144tt1VY5 Town License #:qe Phone:
Address:6R 23 Py€LtØit CO Rt)/21
(Street)(City)(State)(Zip Code)
fi Long-term Residential (?30 days)LI Short-term Residential (<30 days)El Commercial
LI Replace Furnace LI Gas Line (ft.)
0 Replace Boiler LI Replace Windows
C Replace Hot Water Heater LI Install Air Conditioning
LI Minor Plumbing C Temporary Structure Use________________
LI Minor Remodel Time Period
LI Fireplace Insert —circle one:Gas,Wood,Pellet;LI Other
Description of Work:€.?q2t&et a.,apYD)c .3V r4 6Y 10 I Y4L
t ioToo st of Materiab or)55
I certify this application is tnie and correct and agree to perform the work described according to plans/specifications submitted,reviewed and approved,and comply with
local ordinances,slate and federal laws as as building codes.I certify that I have the property owner’s authority and permission to apply for this permit.Additionally,I
UNDERSTAND TI P SI E FOR ANY FEES OR EXPENSES INCURRED FOR PLAN REVIEW,PERMITh,INSPECTIONS AND OTHER
FEES ASSOC TE WI S PU ATION.Note:The work aut)iorized by this permit requires (he building b rovided with smoke alarms complying
with munici I c
Signature
_______________________________
Date Print NameJ4J/Z4./3 &‘24i5A/
Office Use Oniy
Inspection Checklist:
LI Address Posted LI Equipment Access LI T &P LI Smoke Detectors
C Contractors Licensed LI Equipment Listed LI Gas Pipe LI Rough Inspection
LI Permit Packet Available C Equipment Clearances C Vent C Final Inspection
U Safe Access CI Pan and Drain C Combustion Air
Comments:Permit Fee:(,1S..75
Census ft Construction Type:Occupancy:
County Tax:4 e)fl cc
ci DateBuildinOffi)4 Total:‘D92’75
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**SMOKE ALARMS ARE REOU1REIW
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